Employment and health status changes among women with fibromyalgia: A five‐year study
Open accessAbstract
Objective: To assess changes in health status of women with fibromyalgia (FM) over 5 years and determine whether baseline employment status influences health outcomes adjusting for other baseline factors. Methods: Two hundred eighty‐seven women with FM were recruited from a national sample of rheumatologists and interviewed by phone at baseline and annually for 4 years. Data were collected on pain, fatigue, Center for Epidemiologic Studies Depression Scale and Modified Health Assessment Questionnaire (M‐HAQ) scores, demographic characteristics, and employment status. At the end of the study, 211 participants remained. Data were analyzed using multilevel modeling techniques. Bootstrap methods adjusted for the cluster sampling. Results: The participants' mean ± SD age was 47 ± 11 years, their mean ± SD education level was 14 ± 2 years, 90% were white, 50% employed, 64% married, and their median household income was ≥$50,000. Mean ± SD scores at baseline were 57.2 ± 24 for pain, 75.4 ± 22 for fatigue, 22.9 ± 13 for depression, and 0.73 ± 0.5 for the M‐HAQ. Multilevel modeling indicated that all health status measures declined significantly over time except for pain. Rates of change varied from −1.22 for fatigue to −0.03 for the M‐HAQ. Except for pain, patients who were employed at baseline had better health status over time. The employment and time interaction was not significant, indicating that health status changed at the same rate regardless of employment status. Other significant factors were age and income. Conclusion: Employed women with FM have better health status at baseline and maintain that advantage over time. Employment does not seem to provide a protective health benefit.
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Work is an important factor for health status in women with fibromyalgia.
“and in women with FM [38].”
From Which aspects of health differ between working and nonworking women with fibromyalgia? A cross-sectional study of work status and health (2012) · cites this paper as [38]
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“On the other hand, work is an important factor for health status in women in general [43,44] and in women with FM [38].”
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- Authors
- Reisine, S., Fifield, J., Walsh, S., & Forrest, D. D.
- Affiliations
- University of Connecticut (US)
- Venue
- Arthritis Care & Research
- Publisher
- Wiley
- Published
- 2008-11-26
- Volume
- 59
- Issue
- 12
- Pages
- 1735-1741
- ISSN
- 0893-7524 (ISSN-L)
- 1529-0123
- PMC
- PMC2599806
- OpenAlex
- W2036307876
- Cited by
- 42
- References
- 36
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 3 · 2021: 2 · 2020: 2 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 3 · 2014: 3 · 2013: 7 · 2012: 5
- FWCI
- 1.64
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Arthritis Care & Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01AR046041, AR-046041)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- fibromyalgia, employment status, health status, women, chronic pain, fatigue, depression, health-related quality of life, longitudinal change, household income, age
- MeSH terms
- Age Factors, Educational Status, Employment, Fatigue, Female, Fibromyalgia, Health Status, Humans, Income, Middle Aged, Pain, Marital Status
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